Remote Utilization Review Specialist (Mental Health & SUD)

Kent County CMH Authority; Oregon; Hybrid; USD 63,000 - 84,000; Full time

Job summary

Kent County CMH Authority is seeking a Utilization Review Specialist to assess treatment plans for I/DD, mental health, and SUD services. This role identifies barriers to discharge and helps transition care to appropriate intensity settings while supporting quality outcomes.

The position is full-time, primarily remote with occasional travel within Kent County. A licensed clinician with strong communication skills and experience in utilization review is required.

Qualifications

• Fully licensed LMSW, LMFT, LPC or LLP with at least five years of clinical experience (post-licensure preferred).
• Registered Nurse (RN) in Michigan with at least two years of clinical experience in delivering behavioral health services.
• Ability to interpret clinical summaries and apply established medical necessity criteria.
• Strong written and verbal communication skills.

Responsibilities

• Perform utilization review of I/DD, mental health, and SUD intensive treatment services.
• Assess treatment plans to identify barriers to discharge and transition care to appropriate intensity.
• Work Monday–Friday 8:00am–4:30pm with occasional weekend/holiday work.
• Occasional travel within Kent County community and surrounding areas.

Skills

Clinical experience

Medical necessity criteria

Communication skills

Multicultural communication

Fast-paced environment

Education

MSW/LMFT/LPC/LLP licensed

Tools

Word processing

Spreadsheets

Database management

Data entry

Email

Job description

Kent County CMH Authority is seeking a Utilization Review Specialist to assess treatment plans for I/DD, mental health, and SUD services. This role identifies barriers to discharge and helps transition care to appropriate intensity settings while supporting quality outcomes.

The position is full-time, primarily remote with occasional travel within Kent County. A licensed clinician with strong communication skills and experience in utilization review is required.